| NPI | 1598703530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 265) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2762) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-02-21 |